Transcutaneous Laryngeal Ultrasonography for the Assessment of Vocal Cord Mobility before and after Thyroidectomy | ||
| The Medical Journal of Cairo University | ||
| Volume 92, Issue 06, June 2024, Pages 341-350 PDF (677.28 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2024.371321 | ||
| Author | ||
| NOURHAN M. HOSSAM ELDIEN, M.D. MAHA M. ABD ELRA’OF, M.D.; HEBATULLAH Kh.A. MAHDY, M.Sc. | ||
| The Departments of Radiodiagnosis, Faculty of Medicine, Ain Shams University | ||
| Abstract | ||
| Background: Transcutaneous laryngeal ultrasonography (TLUS) has emerged as a promising non-invasive method for assessing vocal cord mobility, offering advantages over tradi-tional laryngoscopy, particularly in scenarios where patient dis-comfort or risks are a concern. Aim of Study: This study aimed to evaluate the role of transcutaneous ultrasonography in assessing vocal cord mobil-ity before and after thyroidectomy, highlighting its utility in di-agnosing vocal fold paralysis or paresis. Patients and Methods: Vocal fold displacement from the midline was analyzed across various conditions in patients undergoing thyroidectomy. Vocal fold displacement veloc-ity (VFDV) was measured to assess vocal fold functionality. TLUS diagnostic accuracy was evaluated for identifying vocal fold paralysis. Results: TLUS demonstrated high sensitivity and specific-ity for detecting vocal fold paralysis, with significant reductions in VFDV post-thyroidectomy. The correlation between VFDV and dysphonia scores suggested potential associations between vocal fold mobility and voice quality, warranting further inves-tigation. Conclusion: TLUS emerges as a reliable, non-invasive alternative to laryngoscopy for evaluating vocal cord mobility in thyroidectomy patients. Its capacity for quantitative assess-ments and diagnostic precision enhances clinical decision-mak-ing and patient management. | ||
| Keywords | ||
| Transcutaneous laryngeal ultrasonography; Vo-cal cord mobility; Thyroidectomy; Vocal fold pa-ralysis; Vocal fold displacement velocity | ||
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